If the provider is not listed below, visit their website to access forms and information.
1. Complete an out-of-network claim.
Log in to DavisVision.com to download a claim form and submit it along with an itemized receipt to the mailing address shown.
DavisVision.com
Vision Care Processing Unit
P.O. Box 1525
Latham, NY 12110
Complete the claim form (download below) and submit it along with an itemized receipt to the fax or mailing address shown.
Download Claim Form
United Healthcare Vision
Attn: Claims Department
P.O. Box 30978
Salt Lake City, UT 84130
Fax: 248.733.6060
2. Include Itemized Receipt and Required Documentation.
3. Submit Forms and Documentation to Insurance Company.
To avoid delays, double check all forms are properly filled out and all required documentation is attached.
4. Collect Reimbursement.
Depending on the insurance provider, claims are typically processed and reimbursements received within 2-3 weeks.